Provider Demographics
NPI:1508975442
Name:DAVIS, GEOFFREY V (MD)
Entity Type:Individual
Prefix:PROF
First Name:GEOFFREY
Middle Name:V
Last Name:DAVIS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:98-211 PALI MOMI ST
Mailing Address - Street 2:SUITE 820
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-4301
Mailing Address - Country:US
Mailing Address - Phone:808-487-8993
Mailing Address - Fax:808-486-9409
Practice Address - Street 1:98-211 PALI MOMI ST
Practice Address - Street 2:SUITE 820
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4301
Practice Address - Country:US
Practice Address - Phone:808-487-8993
Practice Address - Fax:808-486-9409
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2008-04-25
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
HIMD2921207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
HID43558Medicare UPIN
HIBDGSTMedicare PIN